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VA Low Income Families with Children - Medicaid Eligibility

The Virginia Medicaid category, Low Income Families with Children (LIFC), includes all of those adults in low-income families with dependent children who might have been entitled to Medicaid coverage under the rules of the AFDC program until Transitional Aid to Needy Families (TANF) replaced it.

Income Eligibility Tests

VIEW: TANF-recipient families that participate in VIEW are eligible if their gross earned income does not exceed 100% of the Federal Poverty Level and their countable unearned income does not exceed the 90% Standard of Assistance. Gross earned income is all earned income of the Family Unit except WIA earnings (payments issued under the Workforce Investment Act of 1998 (WIA), including Job Corps payments) and earnings of students under age 19. Countable unearned income is all of the unearned income of the Family Unit except that listed in VA Family and Child Income Exclusions. Family Units cannot be broken into Budget Units when determining the correct assistance unit to use for determining LIFC VIEW Medicaid Eligibility.

Non-VIEW: Family members in families with children up to 19 years of age can be covered by Medicaid if they have income that meets the two "Standards of Assistance" income tests. (The two income tests are the comparison of the Gross Income of the Family Unit or Budget Unit with the 185% Standard of Assistance and the comparison of the unit's Countable Income with the 90% Standard of Assistance.) Family Units can be broken into separate Budget Units when appropriate to determine the correct assistance unit to be used for LIFC Non-VIEW Medicaid eligibility.

No Resources Test

Limits on resources (previously $1,000) for the LIFC group have been eliminated.

Extended LIFC

LIFC recipients who lose LIFC eligibility because of increased earned income or child/spousal support may be eligible for up to a year of extended Medicaid. For details see VA Medicaid - Extended LIFC.

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VA Medicaid Eligibility

VA Medicaid Covered Groups

VA Medicaid Overview

VA Benefit Information System Welcome and Introduction

Source:

Information for this topic was drawn from Chapters M03, M06 and M07 of the Department of Social Services (DSS) Medicaid Manual.

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